Healthcare Provider Details

I. General information

NPI: 1952526626
Provider Name (Legal Business Name): ANTONIO ESPARZA, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 12/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W SAM HOUSTON SUITE1
PHARR TX
78577-5217
US

IV. Provider business mailing address

900 W SAM HOUSTON SUITE1
PHARR TX
78577-5217
US

V. Phone/Fax

Practice location:
  • Phone: 956-783-1000
  • Fax: 956-783-9679
Mailing address:
  • Phone: 956-783-1000
  • Fax: 956-783-9679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH7411
License Number StateTX

VIII. Authorized Official

Name: ANTONIO ESPARZA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 956-783-1000